Evidence map›Paper›PMID 42717602›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2026

Access to Supportive Care Among Australian Cancer Carers: Experiences of Priority Populations.

Stephanie P Cowdery, Patricia M Livingston, Thach Tran, Antonina Mikocka-Walus, Anna Ugalde, Eva Yuen, Hannah Jongebloed, Natalie Winter, Nicole Kiss, Nikki McCaffrey and 2 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Access to Supportive Care Among Australian Cancer Carers: Experiences of Priority Populations.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Stephanie P CowderyCentre for Quality and Patient Safety Research; Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-1034-6166
Patricia M LivingstonCentre for Quality and Patient Safety Research; Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0001-6616-3839
Thach TranOffice of the Executive Dean, Faculty of Health, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-4686-8601
Antonina Mikocka-WalusSchool of Psychology, Deakin Lifespan Institute, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0003-4864-3956
Anna UgaldeCentre for Quality and Patient Safety Research; Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-2473-8435
Eva YuenCentre for Quality and Patient Safety Research; Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-7956-5797
Hannah JongebloedCentre for Quality and Patient Safety Research; Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0001-6215-1849
Natalie WinterCentre for Quality and Patient Safety Research; Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-1847-6862
Nicole KissInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-6476-9834
Nikki McCaffreyDeakin Health Economics, School of Health and Social Development, Institute for Health Transformation, Deakin University.ORCID https://orcid.org/0000-0003-3684-3723
Victoria M WhiteSchool of Psychology, Deakin Lifespan Institute, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0001-6619-8484

Funding

Anna Ugalde is supported by a Cancer Research Fellowship VictoriaCancer Strategy Unit, Victorian Department of Health to the Centre of Excellence in Cancer Carer Research, Translation and Impact at Deakin University
6 · The paper itself

Abstract

backgroundInformal carers are essential in supporting people with cancer yet often experience unmet supportive care needs.

aimsThe aim of this study was to examine (a) access to supportive care services (b) perceived barriers to accessing services, and (c) the potential influence of carer health literacy on access and barriers to supportive care among carers across three priority population groups (rural-remote-dwelling, LGBTIQA+ and culturally and linguistically diverse (CALD)).

methodsCross-sectional online survey of Australian adult cancer carers. Supportive care use, access barriers, and health literacy (Health Literacy of Caregivers Scale - Cancer (HLSC-C)) were assessed. Logistic regression examined differences across priority groups, and mediation analyses explored the role of health literacy.

resultsAmong 1154 carers, 61.9% accessed some supportive care (46.7% formal services), yet 86.6% reported at least one barrier, with 71.0% reporting two or more. Common barriers were time constraints, service availability, and long wait times. Compared to non-priority population carers, rural/remote carers had higher odds of reporting limited local availability and services not available when needed (aOR = 5.08 for both). CALD carers had higher odds of reporting a barrier (aOR = 1.81), including long wait times, cost, and lack of culturally appropriate services (aOR = 33.03). Health literacy significantly mediated the association between CALD status and reported barriers.

conclusionsCancer carers have limited access to supportive care and face systemic barriers. Inequities remain, particularly for carers from rural/remote areas and those from CALD backgrounds. To improve equity, there is a need for co-designed, accessible interventions that address health literacy and the diverse geographic, cultural, and linguistic needs of carers. PATIENT OR PUBLIC CONTRIBUTION: People with lived experience of cancer caregiving were included on this study's advisory committee. In this role, their expertise informed the study design, including the development of the questionnaire, the Participant Information and Consent Form (PICF), and recruitment processes. They were also invited to contribute to data interpretation and the preparation of this manuscript. The lead consumer representative (NR) is listed as a co-author on this manuscript.

Indexed as

CaregiversHealth Services AccessibilityNeoplasmsAdultAgedAustraliaCross-Sectional StudiesFemaleHealth LiteracyHumansMaleMiddle AgedRural PopulationSurveys and QuestionnairesAustralian carerscancercaregiversculturally and linguistically diverse backgrounds CALDLGBTIQA+priority populationsrural/remote

Identifiers

PMID42717602
PMCPMC13559169

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.